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South Carolina rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.86 / $7,799.00 / $16,639.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.69 / $350.86 / $449.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,251.80 / $5,908.67 / $10,140.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.41 / $468.00 / $822.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,106.17 / $2,106.17 / $2,706.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.08 / $407.09 / $752.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.70 / $395.32 / $639.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.21 / $1,863.46 / $2,252.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.99 / $343.21 / $537.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.00 / $10,257.00 / $16,249.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.70 / $390.33 / $757.96